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Service evaluation to establish value of a novel online cardiac rehabilitation programme specifically for chronic heart failure

A service evaluation to assess participation and to establish the potential therapeutic value of a novel online cardiac rehabilitation programme specifically for participants with chronic heart failure

What we are doing:

  • The purpose of this project is to test this online module embedded within the existing online cardiac rehabilitation (CR) programme. 
  • The CR department has developed a HF module for a web-based programme that will endeavour to improve the patient’s health, prevent ill health and offer patients with the diagnosis of HF a wider choice of rehabilitation.
  • We will collect pre-post data form patients who choose to follow the web-based programme. This will include all our routine measures of cardiovascular risk, exercise capacity, health related quality of life and patient knowledge.

Why we are doing it:

  • Chronic heart failure (CHF) presents a significant burden to the NHS and to the individual. Patients with CHF are characterised by reduced exercise capacity, fatigue and breathlessness that persists despite optimal medical management. 
  • In the UK, CR is endorsed by all national guidelines, including the NICE Clinical Guideline 108 on CHF. 
  • The most recent Cochrane Review on exercise-based rehabilitation for CHF reported that exercise training programmes provide important improvements in health-related quality of life. CR is associated with a reduction in morbidity and a 28-56% reduction in costly re-admissions in CHF.

What the benefits will be:

  • Despite national guidance for CR, National provision and uptake are poor and these are amplified further for those with CHF, amounting to just 4% of the CR population (n=3364).
  • It is proposed that the service evaluation will be help to beneficial to those patients who have declined attending HF rehabilitation previously (for example; travel, dislike of groups) but more importantly offering patients an alternative choice, which is better suited to their lifestyle needs.

Who we are working with:

  • Leicester, Leicestershire and Rutland (LLR) Sustainability and Transformation Plan (STP) team representing the local clinical commissioning groups (CCGs)
  • East Midlands Academic Health Science Network (EM AHSN) and strong links with the NW London CLAHRC and West Midlands CLAHRC. University Hospitals of Leicester (UHL) NHS Trust.

  • Centre for Exercise and Rehabilitation Science (CERS) Patient and Public Involvement (PPI) Group
  • NIHR Leicester Biomedical Research Centre (BRC)
  • East Midlands National Centre for Sport & Exercise Medicine (EM-NCSEM)

Via co-applicants and collaborators on this project.

Study Lead:

Name: Nikki Gardiner

Role: Clinical Lead for Cardiac & Pulmonary Rehabilitation

Organisation:University Hospitals of Leicester NHS Trust

Contact:

Nikki.y.gardiner@uhl-tr.nhs.uk